Individual
MELISSA ANN COUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
71 PROSPECT AVE, HUDSON, NY 12534-2927
(518) 828-7601
Mailing address
PO BOX 75, ELIZAVILLE, NY 12523-0075
(845) 514-7123
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406099-01
NY
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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